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Central Albany Ob-Gyn, P.C.

Obstetrics & Gynecology in Albany, GA. Organization (NPI-2).

NPI number1235489485
StatusActive
Last updated in NPPESSep 14, 2012

Details

NPI
1235489485
Entity type
Organization (NPI-2)
Legal business name
Central Albany Ob-Gyn, P.C.
Organization subpart
No
Enumeration date
Sep 14, 2012
Last updated
Sep 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology058965GAYes

Practice location

421 W 4th Ave
Albany, GA 31701-1973

Phone 229-435-0002 · Fax 229-883-1782

Mailing address

421 W 4th Ave
Albany, GA 31701-1973

Phone 229-435-0002 · Fax 229-883-1782

Authorized official

Moon Y Chung
Shareholder Physician
2294350002

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